Walgreens Custodian of Records, 1901 East …

Walgreens Custodian of Records, 1901 East Voorhees Street, MS 735, Danville, Illinois 61834 Fax: (217) 554-8955 Phone: (217) 554-8949 Email: myrecords@walgreens.com. Note: If you are signing this form as the legal representative of the individual listed above, and are other than the parent of the minor ................
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